Individual provider Active NPI

Donald F Storm, MD

  • Pediatrics Physician
  • Orchard Park, NY
National Provider Identifier
1285609875
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
123440 Issued in NY
Practice address
3085 Southwestern Blvd
Ste 104
Orchard Park, NY 14127-1233
Phone
(716) 674-1292
Fax
(716) 677-4314
NPI assigned
Feb 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 123440 NY Primary

Addresses

Primary practice location

3085 Southwestern Blvd
Ste 104
Orchard Park, NY 14127-1233

Mailing address

3085 Southwestern Blvd
Ste 104
Orchard Park, NY 14127-1233
Phone (716) 674-1292

Other identifiers 4

IdentifierTypeStateIssuer
000101737001OtherUNIVERA HEALTHCARE
000507133001OtherBCBS OF WESTERN NEW YORK
00611427MedicaidNY
1200623OtherINDEPENDENT HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107001329 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6709188766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285609875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 SOUTHWESTERN BLVD",
            "address_2": "STE 104",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271233",
            "telephone_number": "716-674-1292",
            "fax_number": "716-677-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 SOUTHWESTERN BLVD",
            "address_2": "STE 104",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271233",
            "telephone_number": "716-674-1292",
            "fax_number": "716-677-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORM",
        "first_name": "DONALD",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "123440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "000101737001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WESTERN NEW YORK",
            "identifier": "000507133001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00611427",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1200623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.